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2025B Ambulatory Payment Classification: 1150
Title: I131 iodide sol, rx
| 2025B Relative Weight: | 0 |
| 2025B Payment Rate: | $ 20.88 |
| 2025B National Unadjusted Copay: | $ 0.00 |
| 2025B Minimum Unadjusted Copay: | $ 4.18 |
Addendum D1 Information
Status Indicator: K
Item / Code / Service:
(1) Non-Pass-Through Drugs and Biologicals
(2) Therapeutic Radiopharmaceuticals
(3) Brachytherapy Sources
(4) Blood and Blood Products
OPPS Payment Status:
(1) Paid under OPPS; Separate APC payment.
(2) Paid under OPPS; Separate APC payment.
(3) Paid under OPPS; Separate APC payment.
(4) Paid under OPPS; Separate APC payment.
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| 2021 Top 10 OPPS Facility Claims for APC 1150* |
| NPI | Organization | APC 1150 Submitted |
| 1003878539 |
REGENTS OF THE UNIVERSITY OF MICHIGAN-ANN ARBOR-MI
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XX
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| 1588656870 |
UNIVERSITY OF UTAH-LOS ANGELES-CA
|
XX
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| 1689653305 |
WILLIAM BEAUMONT HOSPITAL-SOUTHFIELD-MI
|
XX
|
| 1376577247 |
ALBANY MEDICAL CENTER HOSPITAL-ALBANY-NY
|
XX
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| 1306825997 |
WILLIAM BEAUMONT HOSPITAL-SOUTHFIELD-MI
|
XX
|
| 1194731935 |
SEVENTH-DAY ADVENTISTS LOMA LINDA UNIVERSITY MEDICAL CENTER-LOMA LINDA-CA
|
XX
|
* Medicare Part A utilization data is derived from the 100% 2021 Outpatient (Fee-for-Service) Standard Analytical File.
Procedure Codes in this APC:
A9530 I131 iodide sol, rx
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Sources: Updates of Addendum A and B are posted quarterly to the OPPS website. These addenda are a "snapshot" of HCPCS codes and their status indicators,
APC groups, and OPPS payment rates, that are in effect at the beginning of each quarter. The quarterly updates of Addendum A and Addendum B reflect
the OPPS Pricer changes that are part of the quarterly OPPS recurring update notification transmittals.
http://www.cms.gov/HospitalOutpatientPPS/AU/list.asp#TopOfPage
For more information on the Composite APC payment,
please see CMS Transmittal R2141CP.
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